Assisting dialysis facilities to improve both staff and patient awareness of specific patient safety areas, promoting patient safety values, and building a culture of patient safety in every dialysis facility.

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Program Guidelines

  • The 5-Diamond Patient Safety Program is offered to dialysis facilities nationally. 
  • Each program year runs on an eleven month cycle: mid-January - mid-December*.
December 7, 2020; Richmond, VA:  

As we move forward together in this uniquely challenging time, Quality Insights Renal Network 5 remains committed to continuous quality improvement within our community.  Recognizing your focus at this time is on both personal safety and the safety and care of your patients, we are extending the closure of the 2020 5-Diamond Patient Safety Program Year from December 15, 2020, until February 15, 2021.  This will allow users more time to work toward achieving or renewing 5-Diamond status for 2020.  We plan to launch the 2021 Program Year in early March 2021. 
Thank you for your continued dedication and service to our community!  We hope you stay safe and healthy this holiday season and into 2021
  • Participating facilities must register each program year.
  • Diamonds earned during one program year do not carry over to the next program year.
  • Facilities must complete the mandatory Culture of Safety module each year of participation (or for 2020, the COVID-19 module) in order to earn Diamond status and to print module certificates.  We recommend facilities complete this module first.
  • 100% of entire staff must participate in the mandatory Culture of Safety module or COVID-19 module (this includes Dietitians, Management, Nurses, Medical Directors, Social Workers, and Technicians).
  • Facilities are expected to begin work on completing the first module within three months of applying to participate in the program. If not, the facility will be considered inactive and must re-apply to participate.
  • Facilities must complete the mandatory Program Review upon the completion of their 3rd or 5th module (depending on new vs. renewal status) in order to access final/5-Diamond status certificate. 

Renewal of Status

  • Renewal of status is only offered to facilities that earned/renewed 5-Diamond status during the previous program year.
  • Renewal facilities must repeat the mandatory Culture of Safety module (or for 2020, the COVID-19 module) for each year status is renewed and complete two additional modules of their choosing.
  • Renewal facilities may repeat modules completed in previous program years.
  • Renewal facilities must complete the mandatory Program Review upon completion of their 3rd module in order to access final/5-Diamond status certificate.

Continuing Education Credit

Nurses & PCTs

The 5-Diamond Patient Safety Program is pleased to partner with Synaptiv to extend the option of 1.0 continuing education credit to nurses for completion of the mandatory Culture of Safety module in-service.  
  • In order to receive Diamond status for the module, users must still complete the Culture of Safety module Reporting Form and submit via the 5-Diamond Patient Safety Program website.
  • Synaptiv will issue 1.0 CE credit to each nurse or PCT completing the Culture of Safety in-service.  Click here for instructions on how to register with Synaptiv to receive credit.  The 5-Diamond Patient Safety Program is not responsible for and does not maintain CE records.  Please contact Synaptiv with any questions regarding your CE activity/account.
  • The 1.0 Synaptiv CE is only available to nurses for the mandatory Culture of Safety module.
  • Diamond status for the program is determined seperately by activity performed on and submitted through the 5-Diamond Patient Safety Program website. 


Technicians must complete 30 continuing education hours during a 3-year period to renew CCHT certification.  The National Nephrology Certification Commission (NNCC) will accept all 5-Diamond Patient Safety Program modules towards CCHT re-certification requirements, if the module in-service is presented by a licensed RN within the facility. Once the facility successfully completes a module, it earns a “Diamond” and prints a certificate from the participant summary page. The certificate can be duplicated, and the following information can be added:  
  • Name of the CCHT that participated

  • Date and name of the program

  • Number of Contact Hours Awarded (1.0)

  • Signature of licensed staff RN providing in-service program

This information should be written/documented on the contact hour form contained within the CCHT re-certification application.  Please be sure to include "5-Diamond Program" in the title (ex. for Culture of Safety module, list as "5-Diamond Program: Culture of Safety"; for  the Hand Hygiene module, list as "5-Diamond Program: Hand Hygiene", etc.)

Download NNCC's CCHT Re-Certification Application Form

Access the NNCC's Online CCHT Re-Certification Application Form (requires user log-in)

It is estimated that each in-service will take approximately one hour, therefore the NNCC will credit each module in-service at 1.0 CE. The NNCC recognizes module completion towards technician recertification requirements only.

The 5-Diamond Patient Safety Program is not currently offering additional continuing education credit. 

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